Nine books of physick and chirurgery written by that great and learned physitian, Dr Sennertus. The first five being his Institutions of the whole body of physick: the other four of fevers and agues: with their differences, signs, and cures.

CHAP. XIII. Of freeing and taking away things generated in the body contrary to nature.

THe last kind remains of taking away things out of the body, * 1.1 namely those which are generated in the body con∣trary to nature, but there is no little difference amongst those things, for some of them are borne together with the parts of our body and are adhere tenaciously, as Warts, Warts great above and small below, swellings and inflammations in the fundament, the top of the yard, the way to the wombe, cal∣lous flesh, Cornes, Knots, the Kings Evill, excrescencies of flesh in the Nostrills, and Polypus, swelling in the Chops, small tumours in the Urinary passage, Excrescencies on the eye lids, fleshy ruptures, or else they are contained in some part of the body, as water in an aqueous rupture in the paunch, stones or gravell in the reines, bladder or yard.

The cutting of warts is performed either by binding, * 1.2 cuttings, or burning; Warts hanging downe are taken away either with a silken threed, or Horse haire, or they are to be tyed with some other strong threed every day harder and harder untill they come off; cutting is performed with an in∣cision knife, like a Mirtle leave, or with a launce; burning is performed with an hot Iron, or with green wood that is burnt; but how severally the tumour called Thymus in the fundament, glans or prepuce, are to be taken away is shewn in the Institutions, and in the 3 d. Book of practice.

Sometimes a little tumour ariseth in the Urinary passage from an Ulcer, * 1.3 and is so increased sometimes that it stops the urine, this is to be taken away by the helpe of a Chyrur∣geon, and fit medicines, but least that other parts should be eroded, medicines are to be ejected through a silver Pipe, to the tumour, or else it is to be incorporated and mixt with the top and head of a wax Candle, and thrust into the place af∣fected, or a little Cane with Lint and white wax put into it, and bedaubed with a fit medicine, being hollow that the

urine may passe through it. This is to be put into the urina∣ry passages.

Polypus if it admits of cure, * 1.4 it is to be cut off with a sharpe Iron Instrument made after the manner of a Spatula, being put into the Nostrills, of which operation see the Institu∣tions, and the first Book of Practice.

Fleshy excrescencies in the Chops called, * 1.5 Epuli, as also Encanthis, or excrescencies in the greater corner of the Eye, and the naile of the Eye, unlesse they can be taken away with medicines, are to be cut off, as also peices of flesh here and there growing in the skin of the body, * 1.6 and excrescencies which represent a kind of soft flesh, which are like the rootes of Mushroms, and grow like them, and therefore are called Musheroms, knots also, Kings evill, Kernells, swellings in the Throate, and swellings in the flesh, or fleshy ruptures if they cannot be eradicated by Medicines, must be taken away by cutting.

A watry rupture, * 1.7 or water collected into the cods cannot alwayes be taken away by discussing medicines, the cods are to be opened, and the water to be let out through the wound.

Lastly the stone of the bladder, * 1.8 since it is seldome di∣minished by medicines, the bladder being cut, tis to be taken out, and sometimes a stone sticking in the urinary passage is to be drawn out, but in what manner those cut∣tings, and operations all of them ought to be persormed, is spoken in the Institutions, and may there be seen, nor can the wayes of those operations be reduced into a compendium, but all things which are there spoken in the operations are diligently to be observed, and thus much of the fourth Chyrurgicall operation.

Notes

• * 1.1

  Things preternatu∣rall begot∣ten in the body how many-fold.
• * 1.2

  Warts.
• * 1.3

  Caruncles extirpated out the Ʋrinary passages.
• * 1.4

  Taking a∣way a Po∣lypus.
• * 1.5

  Epuli a naile in the eye.
• * 1.6

  Excrescen∣cies of flesh. Fungi. Nodi &c.
• * 1.7

  A watry rupture.
• * 1.8

  Stone of the bladder.